- Allied Universal (Billings, MT)
- … training/orientation course + Minimum of two (2) years of demonstrated experience conducting insurance claims investigations or adjusting complex claims ... Claims Investigators validate the facts of loss for Insurance claims through scene Investigations ,...and within their designated region of the country + Special Investigative Unit ( SIU ) Compliance… more
- The Hartford (GA)
- …help shape the future. We are seeking a talented Special Investigator to join our Special Investigations Unit ( SIU ). This position will be based out ... the adjudication of the claim. The mission of the SIU is to contribute to claims accuracy... investigations to support the accurate resolution of insurance claims by the Company. Key responsibilities… more
- The Robison Group (Brooklyn, NY)
- …searches, and other investigative tasks. This is a remote opportunity for part-time employment in our Special Investigations Unit ( SIU ). As an SIU ... are interested in utilizing their investigative skills to conduct a variety of investigations on insurance related matters; such as auto and property theft,… more
- Allied Universal (Des Moines, IA)
- … Unit ( SIU ) Investigator. Special Investigations Unit ( SIU ) Specialists investigate claims with red flags that suggest fraudulent ... years of demonstrated experience conducting complex insurance investigations or adjusting complex insurance claims...Proficient in utilizing laptop computers and cell phones. + Special Investigative Unit ( SIU ) Compliance… more
- BlueCross BlueShield of North Carolina (NC)
- **Job Description** The AVP Special Investigations Unit ( SIU ) is responsible for overseeing and managing fraud, waste, and abuse (FWA) detection, ... assets and reduce healthcare costs. This requires demonstrating vision in positioning the SIU with the right skill sets, cutting edge analytics tools, and robust… more
- Kemper (Los Angeles, CA)
- …Summary:** The SIU Investigator will conduct field as well as desk investigations of insurance claims referred to and accepted for investigation ... by the Special Investigative Unit . Our Special ...This investigator will coordinate investigations with outside SIU contacts, the Department of Insurance Fraud… more
- Kemper (Miami, FL)
- …promises._ **Position Summary:** The SIU Investigator will conduct field and desk investigations of insurance claims referred to and accepted for ... investigation by the Special Investigative Unit . Our Special ...This investigator will coordinate investigations with outside SIU contacts, the Department of Insurance Fraud… more
- Humana (Indianapolis, IN)
- …Program Integrity (OMPP PI) and other agencies such as the Medicaid Fraud Control Unit (MFCU) and coordinate all aspects of FWA activities in Ohio to increase ... to encourage sensible and culturally-competent business standards + Oversee internal investigations of FWA compliance issues + Work with the Contract Compliance… more
- Insight Global (San Antonio, TX)
- …for Medicare Supplement Fraud, Waste, and Abuse you will support the Life Special Investigations team that is responsible for increasing fraud awareness ... and investigate all life, health and waiver of life insurance premium claims to ensure claim validity...appropriate, as well as monitor appropriate loss and expense claims reserves. As a Mid-Level Life SIU … more
- Travelers Insurance Company (Columbus, OH)
- …and 3rd party auto physical damage claims , including both personal and business insurance claims . The claim types will be basic to moderate physical damage ... as well as fire, theft, flood, lightning, diminished value claims and any claims that involve injuries....resolution and pursuit of alternative recovery sources (eg Subrogation, SIU , etc.). + Negotiates the claim with the customer… more
- Travelers Insurance Company (Downers Grove, IL)
- …3rd party auto physical damage claims , including both personal and business insurance claims . The claim types will be predominately basic and some moderate ... and some comprehensive; typically excludes fire, theft, flood, lightning, diminished value claims and any claims that involve injuries. The actual resolution… more
- Molina Healthcare (Columbus, OH)
- **Knowledge/Skills/Abilities** Acts as liaison between Special Investigations Unit ( SIU ) operations and contracted vendor(s) to assure a smooth workflow ... Waste and Abuse (FWA) and Associate Vice President of Special Investigations Unit ( SIU...Experience** * Minimum of 8-10 years relevant experience in special investigation units, Insurance Fraud and Abuse,… more
- Travelers Insurance Company (Columbus, OH)
- …obtain assistance in conducting investigations . + Identifies cases for potential insurance fraud prosecution and submits questionable claims to the National ... into actionable investigative strategies including the identification of complex case investigations . + Conducts insurance investigations including… more
- Axis (New York, NY)
- …internal and external business partners, insureds, claimants, agents, attorneys, other insurance companies, project team members, claims leadership, and vendors. ... Capital - a trusted global provider of specialty lines insurance and reinsurance. We stand apart for our outstanding...candidates taking part in the selection process. AXIS Capital Claims Compliance Specialist, Claims Shared Services- Job… more
- USAA (Phoenix, AZ)
- …+ Identifies coverage concerns, reviews prior loss history, determines and creates Special Investigation Unit ( SIU ) referrals, when appropriate. Determines ... our members. Be part of what truly makes us special and impactful. **The Opportunity** As a dedicated Senior...framework to investigate, evaluate, negotiate, and settle complex property insurance claims presented by or against our… more
- USAA (Washington, DC)
- …+ Identifies coverage concerns, reviews prior loss history, determines and creates Special Investigation Unit ( SIU ) referrals, when appropriate. Determines ... and framework, investigates, evaluates, negotiates, and settles complex property insurance claims . You will confirm/analyze coverage, recognize liability… more
- USAA (Providence, RI)
- …+ Identifies coverage concerns, reviews prior loss history, determines and creates Special Investigation Unit ( SIU ) referrals, when appropriate. Determines ... Come be a part of what makes us so special ! **The Opportunity** As a Insurance Property...framework to investigate, evaluate, negotiate, and settle complex property insurance claims presented by or against our… more
- Kemper (Sacramento, CA)
- …Examinations Under Oath. This investigator will coordinate investigations with outside SIU contacts, the Department of Insurance Fraud Division, NICB, and ... claims that may contain elements of fraud or claims otherwise deemed suspicious in nature. These investigations...SIU Manager and provide work direction to other Special Investigators on a temporary basis. A laptop computer,… more
- USAA (Milwaukee, WI)
- …+ Identifies coverage concerns, reviews prior loss history, determines and creates Special Investigation Unit ( SIU ) referrals, when appropriate. Determines ... Come be a part of what makes us so special ! **The Opportunity** As a dedicated Property Adjuster Specialist...framework to investigate, evaluate, negotiate, and settle complex property insurance claims presented by or against our… more
- USAA (Tampa, FL)
- …+ Identifies coverage concerns, reviews prior loss history, determines and creates Special Investigation Unit ( SIU ) referrals, when appropriate. Determines ... our members. Be part of what truly makes us special and impactful. **The Opportunity** As an Inside Desk...investigate, evaluate, negotiate, and settle moderate to complex property insurance claims presented by or against our… more